52D0872489 CLIA NUMBER - PETER PARTHUM MD

Laboratory Demographics

  • CLIA Code: 52D0872489
  • Facility Name: PETER PARTHUM MD
  • Facility Address: 10691 W PARNELL AVE
    HALES CORNERS, WI
    ZIP 53130
  • Facility Phone: 414 427-7787
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER PARTHUM, MD
  • NPI Number: 1518930288
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0872489
LAB Type Physician Office
Facility Name PETER PARTHUM MD
Street 10691 W PARNELL AVE
City HALES CORNERS
State WI
ZIP 53130
Phone 414 427-7787
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director PETER PARTHUM, MD

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This page was last updated on: 9/29/2025